neurojourНеврологический журнал имени Л.О. БадалянаL.O. Badalyan Neurological Journal2686-89972712-794XФГАУ «НМИЦ здоровья детей» Минздрава России10.46563/2686-8997-2020-1-4-217-223neurojour-16Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESПрименение обуви типа «сквикеры» у детей с транзиторной идиопатической ходьбой на цыпочкахThe use of shoe type «squeakers» in children with idiopathic transient toe walkinghttps://orcid.org/0000-0002-7651-8485КенисВладимир МарковичKenisVladimir M.

Доктор медицинских наук, зам. директора по развитию и внешним связям ФГБУ «НМИЦ детской травматологии и ортопедии им. Г.И. Турнера» Минздрава России, 196603, Санкт-Петербург, Россия.

e-mail: kenis@mail.ru

MD, Ph.D., DSci., Deputy Director for development and foreign relations, G. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery, Saint-Petersburg, 196603, Russian Federation.

e-mail: kenis@mail.ru

kenis@mail.ruhttps://orcid.org/0000-0003-3036-3796ХусаиновН. О.KhusainovNikita O.noemail@neicon.ruФГБУ «Национальный медицинский исследовательский центр детской травматологии и ортопедии им. Г.И. Турнера» Минздрава России; ФГБОУ ВО «Северо-Западный государственный медицинский университет им. И.И. Мечникова» Минздрава РоссииG. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery; I.I. Mechnikov North-Western State Medical UniversityФГБУ «Национальный медицинский исследовательский центр детской травматологии и ортопедии им. Г.И. Турнера» Минздрава РоссииG. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery20202903202114217223Copyright © Кенис В.М., Хусаинов Н.О., 20212021Кенис В.М., Хусаинов Н.О.Kenis V.M., Khusainov N.O.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.neuro-journal.ru/jour/article/view/16Введение

Введение. Транзиторная ходьба на цыпочках — частое явление у детей младшего возраста, имеющее доброкачественный характер. Тем не менее родители детей обращаются к ортопедам с жалобами на постоянную или периодическую ходьбу на цыпочках. 

Целью настоящего исследования была первичная оценка эффективности обуви типа «сквикеры» для оптимизации двигательной активности детей с транзиторной идиопатической ходьбой на цыпочках.

Материалы и методы

Материалы и методы. Нами проведено исследование серии случаев, включавшее 24 ребенка (средний возраст 21,4 мес), наблюдавшихся ортопедами в поликлиниках с жалобами на нарушение походки в виде ходьбы на цыпочках. Детям была бесплатно предоставлена обувь «сквикеры». Родителям было предложено заполнить анкеты по прошествии 1 месяца.

Результаты

Результаты. Родители 22 детей, носивших «сквикеры», отмечали улучшения: ребенок перестал или стал меньше ходить на цыпочках, более половины родителей отмечали нормализацию ходьбы в обычной обуви, а треть — босиком. Отрицательных эффектов не отмечено.

Обсуждение

Обсуждение. Нами проведена оценка первичной эффективности модификации обуви («сквикеры») у детей с транзиторной идиопатической ходьбой на цыпочках. В качестве вероятного механизма, лежащего в основе эффекта «сквикеров», можно предположить формирование эффекта биологической обратной связи за счёт дополнительного рекрутирования слухового сенсорного анализатора.

Заключение

Заключение. На основании проведённого исследования можно рекомендовать применение обуви типа «сквикеры» у детей с транзиторной идиопатической ходьбой на цыпочках, демонстрирующих отсутствие или незначительную спонтанную положительную динамику, в качестве средства закрепления физиологического двигательного стереотипа.

Introduction

Introduction. Transient toe walking is a common benign condition in young children. Nevertheless, it leads to parents’ concern and becomes a frequent reason for visits to orthopaedists.

Aim

Aim: a preliminary assessment of the effectiveness of «squeakers» shoes for optimizing of gait in children with transient idiopathic toe walking.

Material and methods

Material and methods. A prospective study of 24 children (mean age: 21.4 months) which are under surveillance in outpatient clinics for toe walking as the main complaint. Children supplied free of charge with «squeakers» shoes. Parents filled questionnaires 1 month after the usage of these shoes.

Results

Results. Positive changes in gait (normalization or improvements) were reported in the majority (22 from 24) children. More than half of parents noticed normal gait in regular shoes and one third — barefoot. No deterioration has been observed.

Discussion

Discussion. We conducted a preliminary study assessing the effectiveness of modified shoes («squeakers») in children with transient idiopathic toe walking. Most of the parents reported improvements in walking. As a potential mechanism, we suggest positive biofeedback with the recruiting of the sensory (audial) pathway.

Conclusion

Conclusion. Based on our study we can recommend «squeakers» for children with transient idiopathic toe walking demonstrating delayed spontaneous improvement.

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The authors declare that there are no conflicts of interest present.